<form action="<{link app=b2c ctl='site_feedback' act='create' }>" method="post" id="feedback">
		<div class="form-group">
			<label for=""><{t}>姓名：<{/t}><!--<sup>*</sup>--></label>
			<{input type="text" id="" name="name" class="x-input form-control" placeholder=$___b2c="请输入姓名"|t:'b2c' vtype="required"}>
			
		</div>
		
			
				<div class="form-group">
				<label for="" style="width: 100%;"><{t}>电话：<{/t}><!--<sup>*</sup>--></label>
				<div class="row">
				<div class="col-lg-6 col-md-4 col-sm-4 col-xs-4">
						<{if $phones}>
							<!--手机验证-->
						<select name="phone_setting" class="form-control">
							<{foreach from=$phones item=items}>
							<option sid=<{$items.length}> value=<{$items.area}>><{$items.country}><{$items.area}></option>
							<{/foreach}>
						</select>						
				</div>
				<div class="col-lg-6 col-md-8 col-sm-8 col-xs-8">
						<{input type="text" name="tel" signup_type="mobile"  placeholder=$___b2c="请填写手机号"|t:'b2c' vtype="required" id="check_tel" class="form-control" }>
						<{else}>
						<{input type="text" name="tel" signup_type="mobile"  placeholder=$___b2c="请填写手机号"|t:'b2c' id="check_tel" class="form-control" }>
						<{/if}>
				</div>
				</div>
				</div>


		<div class="form-group">

			<label for=""><{t}>反馈意见：<{/t}><!--<sup>*</sup>--></label>

				<textarea name="content" vtype="required" class="form-control"></textarea>
		</div>
		<div class="form-group">
			<label for="" class="form-label"></label>

			<{assign var='label' value='提　交'}>
			<{button id="btn1" type="submit" class="btn btn-primary pull-right" label=$__b2c=$label|t:'b2c' rel="_request"}>
			<div class="clearfix"></div>
		</div>

</form>